Individual
EMILY GRAHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1015 W WASHBOURNE ST, JAY, OK 74346-4205
(918) 308-5513
Mailing address
1015 W WASHBOURNE ST, JAY, OK 74346-4205
(918) 308-5513
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
210156
OK
Other
Enumeration date
01/11/2023
Last updated
01/11/2023
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